tag:blogger.com,1999:blog-18943510.post5661359231924973979..comments2015-03-03T16:40:36.706-06:00Comments on Dr. Wes: My Valentine's StoryDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-18943510.post-43553950099829979142008-02-27T09:12:00.000-06:002008-02-27T09:12:00.000-06:00Rocky-The "MVP" (Minimum Ventricular Pacing) algor...Rocky-<BR/><BR/>The "MVP" (<A HREF="http://www.eplabdigest.com/article/5406" REL="nofollow">Minimum Ventricular Pacing</A>) algorithm is a feature in dual-chamber pacemakers/defibrillators. This was a single-chamber VVIR device - hence MVP was not the cause of the Torsade de pointes noted in this case.DrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-70316556659289482132008-02-26T22:16:00.000-06:002008-02-26T22:16:00.000-06:00was this the MVP algorithm that kicked of the T de...was this the MVP algorithm that kicked of the T de P?<BR/><BR/>RockyRockywww.leftonetwo.comnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-9027014458003366032008-02-14T18:10:00.000-06:002008-02-14T18:10:00.000-06:00awesome, thanks!awesome, thanks!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-8776749379436130572008-02-14T09:13:00.000-06:002008-02-14T09:13:00.000-06:00Jay-What a great idea - the red heart and all. Lo...Jay-<BR/><BR/>What a great idea - the red heart and all. Lots of folks can derive comfort in the fact that they're not alone living with these devices. As miraculous as they are, they still make us confront our mortality - and that's a mind-blowing experience. <BR/><BR/>Regarding the programming change - I agree with you the "pause was the cause" for her arrhythmia. The two options for this DrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-16275225355969790432008-02-14T06:57:00.000-06:002008-02-14T06:57:00.000-06:00Wes,I'd raise the pacing rate up to 60 or so to pr...Wes,<BR/><BR/>I'd raise the pacing rate up to 60 or so to prevent the "long-short" but I'd wouldn't go so far as to say that this would prevent any further shocks. One would also have to weigh the potentially detrimental effect of an increase frequency of RV pacing in this decision.<BR/><BR/>The main message to the patient here is "congratulations" with a pat on the back. In our office, we'll Jayhttp://www.blogger.com/profile/10897176780069403370noreply@blogger.com